| NPI | 1730766064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: VA 0202212993) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: VA 0202212993) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |